Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,691.53	Professional		$1,819.70	$2,041.74	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,715.19 / $11,220.18	Facility		$5,888.44	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,388.44	Professional		$1,659.59	$1,949.84	$3,388.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $2,691.53	Facility		$1,548.82	$2,238.72	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,754.23	Professional		$1,659.59	$2,290.87	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,019.95 / $3,019.95	Facility		$34.67	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $11,748.98	Professional		$2,089.30	$3,548.13	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $3,630.78	Professional		$1,737.80	$2,630.27	$3,630.78